Tag: Anxiety

Book Review: ‘Pushing Through The Cracks: In the Darkness of Her Family’s Mental Illness She Found Light’- Emily J. Johnson by Eleanor

~ Eleanor Segall ~ 1 Comment
(image: Emily J Johnson)

Pushing Through The Cracks: In the Darkness of Her Family’s Mental Illness She Found Light by Emily J. Johnson is an incredible book. It is a story that I don’t believe has ever been written about before in such a way in the mental health space, I have certainly never come across it. Its a true memoir that occurred here in the UK during lockdown.

Emily wrote to me and kindly sent me a free copy of her book. I was hooked from the first page- this is a story of survival against the odds, of how mental illness can rip a family apart but how healing and hope are possible. Of strength through immense difficulty. Of light winning over darkness.

Four years ago, in the UK, Emily, a divorced mother of two, was living her best life with a new partner and blended family of six. But then addiction and mental illness entered her home uninvited, threatening to tear the whole family apart.

With an alcoholic husband and two teenage sons – one a depressed gambler and the other with chronic obsessive-compulsive disorder (OCD)– Emily is left to cope alone. And when the Covid pandemic hits, Emily, a ‘serial people-pleaser, enabler and born rescuer’, almost breaks too.

This true story delves into the darkest sides of mental illness and addiction with raw, often harrowing honesty. It shines a light on taboo subjects including self-harm, suicidal feelings, gambling, alcoholism, depression, severe OCD and eating disorders, all exacerbated by an unprecedented global pandemic and dwindling support services.

This is a story of remarkable strength, self-realisation and reclamation of a lost identity. This is a story of finding hope, pushing through the cracks in the darkness. It is also a story that touches on the difficulties of accessing UK NHS mental health services at times, especially CAMHS.

I found Emily’s strength through such severe adversity – dealing with a husband and two sons with severe mental illness, whilst carrying on with her own life when mental illness permeated every part, to be so inspiring. Her marriage falls apart, her children are unable to attend work and education, the family embarks on several different recovery journeys- navigating NHS mental health care and all its difficulties. Her sons addictions and acute OCD worsen and add to the pressures for Emily. How does she as a mother fix it all? She realises.. she can’t fix anyone and its not her job too.

The front cover features a dandelion pushing through the cracks of the ground. Emily describes the moment she hits rock bottom but then saw a dandelion poking through- which symbolised hope and light for her,

‘(image: Emily J. Johnson)

‘I pick up my phone and call a crisis support line…I desperately want someone to listen to me, to ease my pain, to hear my stories…(of mental illness at home)

I throw my phone across the path in frustration… something catches my eye, a beautiful yellow dandelion is growing through a crack in the concrete. Its golden yellow petals cut through the greyness of the broken path and it overshadows the filth and discarded cigarette butts around it. Despite its surroundings, it has found ways to push up through that crack, to have life. it is. not complaining or giving up, it’s surviving and it will go on to finish flowering. One day soon, the wind will carry its dainty seeds somewhere else to carry on the cycle of its life.

Just like that dandelion, I have pushed through adversity and survived. …I close my eyes and raise my face to the sunshine… Even in the midst of all this chaos, this darkness, there is warmth and light. There is hope.” (from chapter Dandelion) (Emily J. Johnson)

This is also a book which exposes the difficulties and realities of living with mental illness. I will add a trigger warning- it doesn’t hold back on the reality of mental illness including self harm, addiction, alcoholism, suicidal thoughts etc- so please read with care.

Thank you Emily for letting me read and follow the journey of your family. I hope your husband and sons are able to fully battle their demons and recover or stay in remission.

Pushing Through the Cracks by Emily J. Johnson can be bought from Amazon and good book shops.

(image: Emily J. Johnson)

Window to the Womb partners with BlueSkeye AI to launch Avocado App to support Perinatal Mental Wellbeing in the UK.

~ Eleanor Segall ~ Leave a comment
(image: avocadoapp.co.uk)

Window to the Womb, the UK leading provider of private Baby Scan Services for pregnant women, has partnered with BlueSkeye AI to launch Avocado.

Avocado is a brand new pregnancy App which uses cutting-edge AI technology to support effective mood management. Window to the Womb is rolling out the use of the Avocado App across all 44 clinics nationwide enabling women who attend for early and later pregnancy ultrasound services to access their scan images and scan reports digitally. In their drive to support women in early stages and throughout pregnancy, Window to the Womb has worked with BlueSkeye AI to provide a range of additional services within the App including the ability to log a pregnancy diary, access mindfulness or exercise material and order personalised baby scan photos.

(image: avocadoapp.co.uk)

Managing Emotional Wellbeing and Moods

Avocado provides women with the ability to understand and manage their mood and emotional wellbeing throughout pregnancy. Recognising that pregnancy and preparing to have a baby is such a big life event it is well understood that pregnancy can be an emotive time and a trigger for mental ill health. Pregnancy hormones can be a likely contributor to changes in mood, as well as other triggers including fatigue and sleep deprivation. 

The Maternity Mental Health Alliance, a UK charity that is focussed on addressing the needs of women during pregnancy reported that 1 in 10 women experience perinatal mental problems and more needs to be done to support women during pregnancy. The lived experiences of women, as documented and made available to listen to by MIND, who have experienced perinatal mental illness indicate there is more to be done to help raise awareness in society about the prevalence of anxiety and depression (and other mental illness) during pregnancy. 

Avocado enables women to track their mood alongside other key pregnancy metrics whilst managing their private scan appointments and much more. The app directs women to useful resources including the NHS’ Every Mind Matters mental health and wellbeing resource.

”At Window to the Womb, we are privileged to meet and provide services to thousands of women at different stages of their pregnancies. We are committed to ensuring that women are well supported as they access our services and we are keen to ensure that women are empowered to self-manage their mental and emotional wellbeing during this time” said Managing Director of Window to the Womb, Tony Harrison.

BlueSkeye AI is a fast growth tech company based in Nottingham creating AI you can trust, and is on a mission to improve wellbeing and patient health outcomes by delivering accessible and objective services and products that help patients understand and manage their mental health and wellbeing. The ethical AI company’s technology is underpinned by Behaviomedics, pioneered by BlueSkeye AI’s CEO, Professor Michel Valstar.

“Our core technology automatically analyses and synthesises the face and voice to monitor mood and other medically relevant expressed behaviour. We are delighted to work in partnership with Window to the Womb to apply our technology to help perinatal women understand and manage their mental wellbeing” said Professor Valstar, CEO of BlueSkeye.

The App is available to download on Apple and Android devices. A premium version is now available for subscription and includes additional features that promote wellbeing during pregnancy.

Please visit www.avocadoapp.co.uk for more information.

This article is unsponsored- I am sharing it because i believe greatly in the mission of the founders to support perinatal mental health.

Surviving Trauma Makes Relationships Difficult. Self Compassion Can Help: by Taylor Blanchard

~ Eleanor Segall ~ Leave a comment
(image: Unsplash)

You sabotage your relationships when things feel too calm.

You panic when your partner goes on a family vacation, believing that they’re leaving you forever.

Perhaps you can’t stand hugs or gentle touch.

Maybe you’ve wondered to yourself: “What in the world is wrong with me?! Am I just not cut out to have close friends or a romantic relationship?”

Actually, that’s not the case! You deserve close relationships– everyone does. If you resonate with these scenarios, though, you may have some unprocessed trauma– and that trauma may be making your relationships feel like a rusty, ungreased wheel.

You’re not alone. Here’s how trauma can blow our relationships off-course, and also, how self-compassion can help to ease that struggle.

Trauma Creates Hypervigilance

Trauma is any incident that overwhelms your ability to cope (abuse, neglect, or surviving a natural disaster, just to name a few examples). These abhorrent experiences cause our brains and bodies to swirl with cortisol, also known as the stress hormone.

After a seriously traumatic event (or relationship or childhood), our cortisol levels don’t always return to baseline. Often, the nervous system creates a new baseline of heightened stress response. In short: you don’t go back to being as calm as you were before the storm. Now, you’re hypervigilant all the time. You’re always stressed, always scanning for the next attack.

Unfortunately, relationships can’t be created without vulnerability, and vulnerability can’t happen if you’re constantly scanning for attack.

You might be hypervigilant in your relationships if:

  • You feel uncomfortable, fidgety, and unsafe during social situations
  • You constantly micro-analyse everything other people say to make sure they’re not going to hurt you
  • You constantly micro-analyse everything you say to make sure you don’t say anything “wrong”

Aversion to Intimacy

Trauma, and the excess cortisol it triggers, also creates an aversion to physical closeness. When we’re stressed  (i.e., when our cortisol is on full blast), our nervous systems naturally resist being touched.

Do you find yourself shrinking away from hugs? Do you feel an urge to run away when someone gently touches your arm? That’s likely a trauma response.

Of course, if you’ve experienced assault or physical or sexual abuse, this is a double whammy. Since your trauma came from physical touch, your brain has registered any physical touch as dangerous– on top of your increased baseline level of cortisol. Of course you’d feel sick at the thought of a hug! If this sounds like you, go extra easy on yourself if you struggle with relationships; this struggle isn’t your fault.

So, This Sucks… How in the World Do I Heal?

Yes, it sounds bleak. If this is you, you may feel hopeless. I’m with you; I’ve been there. It’s not hopeless, though. This is healable.

Therapy: Do I Even Have to Say It?

Yes, healing this will probably require trauma-informed therapy. You’ll be surprised at how fast you can begin to shift once you see a therapist who validates your traumatic experiences.

Here’s a hint: Psychology Today’s find-a-therapist tool can help you easily find a trauma-informed therapist. (Make sure to select “trauma focused” under the “types of therapy” menu.)

Now That That’s Out of the Way: Self-Compassion Comes Next

I’m 100% serious when I tell you: you deserve to go easy on yourself.

I say this with firmness, and yet, I forget to go easy on myself most days. Regardless, it helps immensely to stop comparing your relationships to other people’s relationships (both friendships and romantic relationships!).

Yes, it may likely take you longer to learn how to develop lasting relationships, both friendly and intimate. It may seem unfair that making and keeping tons of friends, as well as a life partner, comes so easily to some, while you’re struggling to simply text one person back.

Know what? It is unfair. You shouldn’t have gone through the trauma that you went through. What this means, though, is that you can recognize that you face more relational setbacks than someone who didn’t suffer the same trauma as you did. You’re starting further behind with a ball and chain tied to both feet.

Thus: you can stop comparing, and you can stop feeling like you’re “behind” somehow. Always try to recognize even your tiniest victories, even and especially the challenges which seem “easy” to other people.

Wrapping Up

Relationships make our lives juicy and sparkly, and so, if trauma has impacted your ability to form relationships (I’m with you!), then you’re probably struggling.

Try your best to go easy on yourself. You’ve been through a slog of painful experiences that, unfortunately, can make life on Earth feel like walking straight uphill all the time. Therapy helps. Self-compassion helps.

And yes, I know it’s tiring, but there is help for you out there. Just keep going.


Taylor Blanchard is a freelance mental health and wellness writer for hire. Her lived experience and extensive knowledge on mental health, emotional wellness, and spirituality guide her to create deep, compassionate blog posts, which she hopes will help people to feel less alone in the world. Self-care for Taylor looks like staring at the sky, drinking cacao while listening to metal, or cuddling with her rescue Pitbull mix.

Transforming your Smile, Confidence and Mental Health in the New Year 2022.

~ Eleanor Segall ~ Leave a comment

Image Credit: Unsplash under Creative Commons

Self care of both our mind and our appearance can really boost our mental health. When it comes to looking after our smile, your teeth are important. Taking care of your teeth and gums is an essential part of taking care of your overall health, stopping you from becoming unwell, but it can also help improve your confidence too. 

Unlike other physical transformations, transforming your smile is something that can be simple and affordable, and you’ll be able to enjoy long-term benefits by doing it.

Could a new smile be on the cards for you in 2022? Take a look at these ways to transform your smile for a dazzling way to welcome in the new year.

Visit your dentist

The first place to go if you want to transform your teeth is the dentist. A lot of people have fallen behind on their appointments as a result of the pandemic, but it’s important that you visit your dentist regularly to make sure your teeth stay in good health. Your dentist will be able to recommend treatments that will improve your smile, as well as give you advice on how to take care of your teeth.

Take better care of your teeth at home

Improving your smile is something that takes time, and you’ll need to develop permanent habits to keep them looking their best. Some of the best practices for healthy teeth include brushing your teeth twice a day and making sure you use a quality mouthwash and flossing aid to keep plaque and bacteria at bay. Maintaining those good habits will help keep your teeth looking clean and polished for a smile you can be proud of.

Look at treatments that will transform your teeth

If you’re unhappy with your teeth, there are things you can do to change how they look. Invisible braces, teeth whitening and even dental implants at Dental Excellence’s clinic can make a big difference to your smile, with treatments able to transform your smile quickly and affordably. Cosmetic dental treatments are an investment worth making, making a big difference to your teeth and your confidence too.

Work on yourself to help put a smile on your face

Transforming your smile doesn’t just happen on the outside, you need to feel good about yourself to smile too. Some self-compassion and self-care could help you work on your inner confidence to give you something to smile about. Do things that make you happy, like seeing friends or your favourite hobbies – it will make a big difference to how you feel.

If you need to speak to someone about what you’re feeling, reach out – you don’t want to face mental health problems alone.

A lot of new year’s resolutions and plans fall at the first hurdle, but transforming your smile is a realistic goal you can stick to. Develop some better oral health habits and see your dentist regularly – it will help you keep your teeth and gums healthy and can impact the rest of your health too.

A new year means a fresh start, so get ready to start 2022 with a new outlook and a smile on your face.

This article was written by a freelance writer and contains links.

Managing Our Mental Health During Christmas And The Festive Season by Eleanor

~ Eleanor Segall ~ 5 Comments
(image: Jonathan Borba: Pexels)

Its nearly here everyone! Just 4 days until our country (the UK) stops and celebrates Christmas (or uses the day as a chance to see family because they’re off work, like we do!).

The pressure is taken off for me during this period because its just a chance for relaxation for us as we’re Jewish, we don’t have the same expectations for the day as others. However, I know for many people Christmas is a stressful time where they see family they don’t normally see and may feel they have to hide how they are truly feeling with their mental health. The pressures are also on for the cost of food and gifts during this time and many people get into debt too.

We already have less daylight during this time and with the Covid pandemic a lot of people are feeling lower and more anxious . This has been the new normal for us all for over a year and particularly here in England where we have record numbers of Omicron Covid cases- but aren’t yet in lockdown.

I know I have been feeling a bit more anxious lately to do with Covid and other things… but I am also going to be kind to myself and give myself a break and time off work to relax also! I love sitting eating Quality street or a Terrys chocolate orange (yum) with loved ones and watching a good film like The Holiday… thats my favourite. Second is the Muppets Christmas Carol. Third Love Actually. Whats yours?

(image: lilartsy: Pexels)

I am lucky my bipolar is in remission and I am stable on medication. So I don’t have to worry about severe depressive or manic episodes right now. But, I still need to look after myself or practise self care- lots of sleep, not too much sugar, and check in with myself or my therapist if needed if my anxiety flares.

Obviously, over Christmas lots of NHS mental health professionals aren’t available but you can reach out to helplines such as Samaritans 116 123 (UK) if you need someone to talk to who will just listen.

You can also text SHOUT to 85258 if you’re in crisis and need support.

In an emergency, if you have a phone line to a hospital outpatient crisis team that are working over Christmas, call that and if not in an emergency you may have to go to Accident and Emergency (but there could be long waits).

Mind have an amazing list of helplines, organisations and food banks such as Trussell Trust for over the Christmas period should you need, click here: https://www.mind.org.uk/information-support/tips-for-everyday-living/christmas-and-mental-health/useful-contacts/

Wishing you all a very happy holidays, a peaceful festive season. This time can also be hard for people with alcohol or drug addictions or eating disorders, as Christmas is often a time with plenty of alcohol and triggering things.

Remember that its OK to be struggling but tell people you trust and reach for support. May your Christmas/ holiday season be merry and bright- and if it isn’t, remember things can get better from here, you can recover and you can be helped. Always tell someone you trust if you feel suicidal or want to harm yourself, so you can be protected and helped through these feelings.

Thank you for all your support this year,

Love,

Eleanor



The Difference Between a Therapist and a Life Coach by Lizzie Weakley.

~ Eleanor Segall ~ 6 Comments
(image: Pexels: Anthony Shkraba)

When you need help solving complex problems in your life, you turn to those who are considered to be “experts”. In this case, that may mean working with either a therapist or perhaps a life coach, which is an option gaining in popularity with more and more people. While working with either of these will be similar in many ways, there are distinct differences between a therapist and a life coach.

Licensing and Credentials

To begin with, major differences exist in terms of credentials and licensing. A life coach may have a college university degree in psychology or counselling and have many years of experience working with clients but is not a qualified therapist. On the other hand, a therapist is required in most cases to not only possess graduate-level training, but also be properly licensed where they practice.

Past or Future

When you work with a therapist, the focus usually is on past traumas that are impacting your current life, such as being abused when you were a child. But when you work with a life coach, these sessions often pinpoint specific problems that are happening right now that are impeding your ability to move forward. For example, you may work with a life coach to discover a new type of career you would find more fulfilling.

Long-Term or Short-Term

When most people begin visiting a therapist, they may continue to do so for many years, or in some cases forever. However, personal life coaching is more of a short-term commitment. In fact, the goal of the life coach is to give you the tools and skills needed to eventually coach yourself, but some therapies also aim to do this too.

Structured or Unstructured

While you may have thought therapy sessions are very structured, they are typically quite the opposite. In fact, therapy sessions are guided by the patient and the type of therapy is used to treat them. While a personal life coaching session has the coach, and you, working on developing goal-oriented strategies that let you experience personal and even professional growth along the way.

In conclusion, depending on your situation, it is always possible you may at some point in your life work with both a therapist and life coach. Whether you have sessions with a therapist to work through unresolved childhood trauma or seek out a life coach to help you achieve a better balance between your personal and professional lives, you will soon learn why these professionals and their services are so valuable to clients.

Lizzie Weakley is a freelance writer from Columbus, Ohio.

Sophie Says It’s Okay Not To Be Okay- Esther Marshall Book Review by Eleanor

~ Eleanor Segall ~ Leave a comment
(image: Esther Marshall/ Sophie Says)

I am absolutely delighted to read and review this incredible childrens book from the Sophie Says series by author and award winning campaigner Esther Marshall (with illustrator Buzz Burry).

Esther’s story is close to my heart as not only is she from my own community but her late sister Rebecca z’l was a doctor who had bipolar disorder and sadly passed away a few years ago, while Esther was writing her second book. Esther has shared that it was her sister who encouraged and inspired her idea to write the childrens books that she couldn’t see for her own child (in terms of positive messages, inspiring rolemodels and diverse characters in terms of both race and gender). Through her sister’s struggles, Esther also began to include positive mental health messages on talking and sharing emotions, self belief and self esteem too.

Esther has said,

“I knew from the second my son was born I wanted to teach him that girls were just as strong and powerful as boys, that people from different backgrounds to him could teach him things and he should listen and be kind to everyone.
The problem was, all the books I could find to read to him had:

  • Mostly male characters (even the animals)
  • Little to no diversity or representation
  • No female role models he could look up to

So I decided that if I couldn’t find the book I wanted to read to my son, I’d better write my own.

I want all children to know and believe that they can achieve their dreams regardless of gender, race, religion or class”,

Esther at Sophie Says has not only thought about what stories she wants to tell through the books, but what messages children reading them will take and absorb. She has partnered with illustrator Buzz Burry and comments, ‘we are helping children bypass harmful stereotypes before they set in by changing the face of children’s literature. Our mission is to enable all children to grow up feeling equipped and empowered to face their futures. To learn more about themselves, others and the world around them. We are helping parents to teach their children positive messages and providing a toolkit to navigate some of the trickier conversations.‘

These books teach children about:

• Emotional Resilience
• Mental health
• Equal opportunities
• Relatable representation 
• Diversity and inclusion
• Self-belief
• Responsible messaging 

Esther very kindly gifted me copies of her first two books- Sophie Says I Can I will– which is about a little girl Sophie with big dreams and no limits. and Sophie Says It’s Okay Not To Be Okay which focuses on Sophie, Jordyn and Jamie on their journey as they learn that it’s okay to talk about their feelings and it’s okay not to be okay. The books are for children in the early years, ages 3-7 years and reading the books with either parents, carers or teachers is recommended. Esther told me she has ‘tried to create books which cater to both home and school so that it can be embedded in both parts of a child’s life and become the foundation of them building resilience at an early age.’

Sophie Says It’s Okay not to be Okay is a very special book- and one of the first I have seen to address children’s mental health in an age appropriate way, to teach children about their emotions and that it’s OK to feel sad, scared or worried. The book follows Jamie who is looking down and feeling sad but whose best friends Sophie and Jordyn help him through and Sophie tells him ‘its okay not to be okay’. They take him to the zoo to help him feel better and speak to Sophie’s older sister Meghan who is wise and will give good advice. Esther named the character after Meghan, Duchess of Sussex who she met with Prince Harry and other young leaders and was inspired by (she gave them a copy of the book too!)

Meghan (the character) says this important message,

”It’s okay to be sad and okay to feel down. Just make sure you have good friends around. There may be days when you feel you’re alone but around us, you’ll always be at home. Its Okay not to be okay”

The book also reinforces self belief and esteem , reiterating that ‘YOU are enough!’ and encourages children to talk about their feelings because it can help. Jamie then says he will speak about his feelings in a place he feels safe in the zoo,

‘I don’t really know how to describe how I feel
As I can’t work out what’s in my head and what’s real.

He said ‘ a smile may be what you see, but that’s not what I feel inside me

There are times I feel quite alone because these feelings are unknown

Some days I’m happy and some days I’m sad and other days I just feel so bad’

(image: Esther Marshall/Buzz Burry/Sophie Says)

His friends then show him support and love, take him to the funfair, all while reinforcing positive kindness and support- ‘Yes we can!” . The book talks positively about the kindness of friendships always being a safe space to talk. This is so important for children particularly in the early years who are learning to understand their feelings.

Esthers writing is beautiful- on one of the last pages of the book she says ‘Whatever you do, be kind, you never know what’s going on in someone’s mind’.

The book was informed by her sister Rebecca’s struggle with mental illness (bipolar disorder). Esther has said, ‘I had always planned to write another book all around mental health to help children understand their feelings and talk about them more openly, and I sadly lost my sister, Rebecca, to mental illness as I was writing it. So the second book Sophie Says It’s Okay not to be Okay is dedicated to her memory’.

Esther wanted to amplify the message and so it was released on World Mental Health Day. The book provides a toolkit for parents who want to help their children to express their own emotions.

She has been visiting schools and doing zoom readings of her book to share the messages for her. Esther told me, I would love that as a result of children reading the Sophie Says books that children understand these vitally important lessons through a fun way of learning and it helps them build resilience and confidence to go out and achieve their full potential whilst being able to understand and manage both their physical and mental health. .’.

Esther is a true force of nature and someone who inspires me so much. She has just released a third book in the series Sophie Says Be Proud of Who You Are which is about Sophie and the rest of the Sophie Says crew on their exciting seaside adventure as they help their friend Priya build her confidence, as they guide her through believing in herself and being proud of who she is. The perfect book to help your child build their confidence and self esteem!

I would recommend the Sophie Says books to all parents, teachers and carers of young children. I can’t wait to see how this brand grows and what Esther achieves (she has achieved so much already!). She should be rightly proud of her work and all she has created.

To learn more about Sophie Says and buy the books click here

You can read Esthers blog dedicated to her sister here: https://www.sophiesaysofficial.com/blogs/dear-rebecca. (If you are over 18 as contains triggering content)

About Esther

Hi, I’m the founder of Sophie Says and the author of the books within the series. The idea for the first book (Sophie Says I Can, I Will) came to me after having my son, Asher (who is the first and most important reader of all the books!).

I knew I wanted him to grow up understanding that both girls and boys could achieve anything that they set their minds to, but I couldn’t find any books that featured a female lead character (a human one, not an animal one!) that really represented the message I wanted to teach him. So I thought, if I can’t find the story I want to tell, I’d better write it myself.

I was gifted two books in exchange for an honest review. Any links are unpaid. These books are incredible.

How to Battle Co-Occurring Mental Health and Substance Addiction by Holly

~ Eleanor Segall ~ Leave a comment

What are co occurring mental health disorder and substance abuse?

A co-occurring disorder is when a person is battling some kind of mental health issue alongside substance abuse like drugs and alcohol addiction. Both SUDs and mental health issues share a strong link. In fact, it’s estimated that almost half the individuals suffering from one will develop the other at some time or another. 

It’s not uncommon for substance abuse to fuel a co-occurring disorder and vice-versa. The severity of both can also increase over time. 

The most common mental health issues to co-occur alongside SUD are – 

  • Anxiety Disorders –  Social anxiety and general anxiety share a strong link with marijuana abuse. Almost 19% of people in the US have some kind of anxiety disorder. GAD, social anxiety, and panic disorder can also increase the odds of co-occurring issues.
  • Personal Disorders – In terms of the general population, around 10-15% suffer from personality disorders. When we talk about those suffering from addiction and substance abuse, the rate is an astounding 35-70%. The commonest personality disorders in those battling SUD are – borderline, avoidant personality, paranoia, and antisocial behavior. 
  • Attention-Deficit/Hyperactivity Disorder – Studies tell us that ADHD comes with an increased risk of developing addiction-related issues during adulthood (mainly 20s and 30s.) There is a positive correlation in symptoms of ADHD like impulsiveness, hyperactivity, and inattention with substance use in adults. 
  • Mood Disorder – Around 30% of people suffering from SUD are likely to suffer from one of the mood disorders such as depression and bipolar.
  • PTSD – According to a survey, people with Post-traumatic Stress Disorder are 4x more likely to develop substance use disorder than those without.

What Causes Co-occurring and Substance Addiction?

It is estimated that over half the people with one disorder will eventually develop the other during their lifetime. While the exact set of reasons that can fuel these two conditions might be long, researchers have found the 3 most prevalent reasons as to why co-occurring disorders may take place.

Overlapping Risk Factors

Many of the risk factors behind SUD and mental health issues are overlapping. Generally, these include environmental factors like exposure to drugs or alcohol at an early age, early childhood trauma, and genetics. All of these factors can make a person more susceptible to developing mental health issues and requiring addiction treatment for drugs such as Cocaine or others.

Self-Medication

Dealing with a mental illness can be difficult. That’s why many people resort to alcohol and drugs as coping mechanisms. In medical terms, this is called ‘self-medicating’. However, it’s quite misleading as instead of fixing the problems, it only masks them. What’s more, in the long run, it exacerbates the symptoms and worsens the dependency on drugs/alcohol, making it more difficult to detox from alcohol or drugs, often requiring medically supervised detox.

Drug-Induced Brain Changes

Prolonged drug and substance use can change the brains ‘motivation and reward mechanism’. It can give a false sense of wellness causing one to develop a dependence on drugs beyond control. Eventually, it can lead to mental health issues by affecting the brain and neurotransmitters.

Drugs affect the areas of the brain associated with mood, impulse control, anxiety, and schizophrenia.

How to Battle Co-occurring Mental Health and Substance Use

Residential Treatment 

Residential rehab programs begin with an initial assessment to draw an individual treatment plan. This is followed by detox and several other therapies. The patient has to stay in a structured and highly supervised facility. Common inpatient treatment duration for drug addiction is 30 days. Residential programs put the entire focus on recovery as daily triggers and challenges are removed that often lead to relapses.

Outpatient Healing Programs

Under this program, a patient receives all the treatments and therapies as in residential rehab. However, they are not required to live in the facility. This is good for young teenagers, parents, and people with mild addiction who cannot sacrifice work commitments. 

Detox

This is usually the first step in most addiction treatment programs. Drug detoxification entails medical supervision to get the drugs out of the system. With a clean system, experts can begin further treatment. Generally, therapies and medication cannot begin unless detox is successfully over.

Integrated treatment

Integrated treatment often includes behavioral therapy and counseling as interventions. Rehab centers in Connecticut and other parts of the United States use integrated treatment coupled with medication. Integrated treatment encompasses several therapeutic techniques with proven results in treating substance abuse and mental health issues. Common integrated therapies are –

  • Cognitive-behavioural therapy aka CBT aims to understand negative behaviours, thinking patterns, and self-talk that might be causing addiction and other disorders. It then works on changing them.
  • Dialectical behavioural therapy is used for treating borderline personality disorder. It does so by working on negative actions and thoughts like self-harm, suicidal behaviour, and dependence on a substance to cope with daily stressors.
  • Contingency management is often used in upscale addiction treatment centres. It reinforces positive changes by utilising incentives for patients who can exhibit positive behaviours such as staying sober and meeting therapy guidelines.

Medication Treatment

Psychotherapeutic Medications are often integral to treating SUD and co-occurring disorders and are frequently used during alcohol treatment. The commonly prescribed medications include antipsychotics and antidepressants. The latter is used to mostly manage the uncomfortable withdrawal symptoms. Other than that, medications may also be used to lessen the cravings so that relapses don’t happen. 

Buprenorphine, naltrexone, methadone, disulfiram, and acamprosate are the common medications used for treating SUD.

Peer Support Clubs

It’s not uncommon for people with psychiatric issues to become antisocial. The withdrawal from social life exacerbates when you throw drugs and alcohol into the mix. By joining peer support groups/clubs like 12-step, Alcoholics Anonymous, and group counseling – patients can find solace in the presence of other people going through similar battles. 

They can draw inspiration from their stories and also learn some tips to maintain sobriety. Support groups are highly effective in fostering a long-term, sustainable drug-free lifestyle.

Education and Counselling for Families

Sometimes a toxic family environment or dysfunctional relationships may unknowingly be fuelling a person’s addiction. Family counselling educates people how to create a healthy living environment for a family member to support long-term recovery.

image: erson-holding-stop-drugs-sign-blog

Holistic Remedies

Medical science is embracing the effectiveness and importance of holistic/alternative treatment when it comes to treating drug addiction. Many rehab centres are now adopting a holistic treatment model. Common holistic therapies are – massage therapy, acupuncture, hypnotherapy, yoga, reiki, meditation, and music therapy.

In Conclusion

Co-occurring disorders may be a harsh reality in many people’s lives. But, know that if you or your loved one is going through this issue, help is always available.

Holly is a freelance writer who loves to help people who are struggling with a drug or alcohol addiction. Holly knows first-hand what it’s like to deal with substance addiction, and has now been sober for 5 years. Holly is a frequent contributor to many addiction-related blogs and organizations such as the Addiction Treatment Division and Inpatient-Rehab.org.

How to Support Your Spouse with Mental Health Issues: by Kara Reynolds.

~ Eleanor Segall ~ 1 Comment
(image: Pexels)

Providing support to anyone with a mental health issue is challenging, to say the least. But when that person is your spouse, the situation is even more complicated. At worst, it’s confusing and overwhelming. At best, you might be walking on eggshells. However, being there for your partner during this difficult time will ultimately bring you closer together.

Here are a few ways to support your spouse so you both can emerge from this stronger than you were before. 

1. Help Them Help Themselves 

In the United States, nearly half of those with clinical-level mental health issues don’t seek help. Instead, they try to handle their illness on their own or simply give up hope, both of which can quickly send them into a downward spiral. 

Therefore, if you notice potential symptoms of a mental illness in your spouse, it’s important to encourage them to seek help. Work together to find a therapist, counsellor or physician (doctor) who can provide medical advice or guidance. 

2. Understand the Diagnosis

Once they see a professional and receive a diagnosis, read up on their condition. Maybe you’ve noticed some of the accompanying symptoms but failed to attribute them to their mental illness. Now that you’re more aware, you can stay calm and avoid feeling triggered or attacked when these symptoms show up in everyday life. 

On the other hand, if your partner hasn’t visibly shown signs of depression, anxiety or other issues, you might have been unaware of their suffering. Understanding their diagnosis will help you notice symptoms in the future so they don’t have to go it alone any longer. 

3. Implement Support Tactics

Now that you know what to look for, you might notice more mental health flare-ups, so what should you do when things start going south? Implement support tactics specific to their condition. 

For instance, if your spouse is dealing with depression, you might notice they’ve neglected to wash the dishes or do the laundry. In this situation, consider offering to complete these chores yourself or suggest doing them together.

4. Be a Good Listener

Sometimes, your loved one will want to talk about their experiences or past trauma that may have prompted their mental illness. When they express interest in discussing things, create a safe space for them by being a good listener. 

Pay attention to every detail in an effort to better understand their perceptions and beliefs. Let them talk it out without worrying about how to respond. Then, when you do react, try to do so not from a place of judgment, but of empathy and compassion. Validate their feelings to help them accept their emotions and move on.

5. Be Patient 

It may be difficult to hear, but certain mental illnesses can ebb and flow for years without reaching a resolution. There’s no magic timeframe for recovery.. Therefore, it’s best to let go of idealised timetables and take things day by day. 

This is when love becomes a choice and your commitment to one another carries you through — for better or worse. Instead of running away, resolve to stay steadfast and patient. Instead of holding their illness against them and growing bitter, choose to see it as yet another challenge you can overcome together. No matter how long it takes, you’ll be there to give them support, encouragement and affection. 

6. Practice Self Care

If you’ve ever been on an aeroplane, you know the flight attendant recommends putting on your own oxygen mask before helping others. After all, you can’t assist others if you don’t take care of yourself first. The same is true in your marriage — and every other relationship, for that matter. Therefore, it’s incredibly important that you practice self care and take care of your own mental health before trying to help your spouse with their issues. 

Take time to be alone each day. Revisit an old hobby or pick up a new one like knitting or journaling. Mind-body exercises and autoregulation techniques can also relieve stress and help you tune into sensations you wouldn’t have otherwise noticed. Engaging in these activities will help you stay healthy and better support your spouse during this difficult time. 

7. Keep the Love Alive

Mental health issues and the symptoms that accompany them can become all-consuming. However, it’s important to focus on your relationship apart from this conflict to keep your bond strong and the love alive. 

Spend quality time together, go on dates and continue to communicate openly. Do things that bring you both joy and focus on enjoying each other’s company. Doing so will remind you why you fell in love in the first place and give you more reason to fight for your spouse’s mental health and your relationship as a whole. 

Communication Is Key 

After some time, you and your spouse may begin to resent the patient-caretake dynamic. When these sentiments arise, communication is key. Talking about your feelings will help you understand one another better and may put you on a level playing field again. Once you realise that it’s you two against the world — and not against each other — you can take on mental illness together and emerge on the other side stronger than ever.

This article was written by freelance writer Kara Reynolds, Editor in Chief at Momish.

Tips for Getting Your Loved One Help For Their Addiction: by Emma Sturgis

~ Eleanor Segall ~ 2 Comments
(image: Pexels)

If you have a loved one struggling with addiction, you know how it can be an arduous task to get them on the right path. It is imperative to try as best as you can to get your loved one or a friend out of the dark path. It takes commitment, endless struggles, and unconditional love to help a loved one out of their drug usage habit. However, it is imperative to know your approach and approach them with care and kindness. Show that you want to help, and don’t be judgmental. Your loved ones could count on your support during this difficult moment. There will always be obstacles that you can overcome together. You can use these few tips to help your loved one recover from addiction.

Expect Challenges

Helping a loved one struggling with addiction can be pretty hard. It can be tough if they are not ready to open up or seek help. Convincing them that they have a problem and should seek help should be a challenge to expect. They may also feel embarrassed discussing their problem and fear negative judgment. Your loved one may lack the will to change or do something about their drug usage. They may also have an underlying issue forcing them to seek salvation in drugs. Your loved one may also have a problem talking to a specialist or a counsellor about their drug problem. Be ready to face such challenges to determine your approach to help the recovering addict to seek help.

Know Your Approach

Your loved one is also human, and drug addiction shouldn’t change your feelings towards them. Please don’t treat them cruelly due to their addiction. It is imperative to note that drug usage is a habit that is an illness, and they need your help. . Approach them with care and keep their best interests at heart. Show them that you’re all about helping them, and drug rehab is not a bad idea for helping them get back on track.

Offer Support and Encouragement

Try and reason with your loved one in a calm and friendly manner. Show that they can count on you and that you care about them. You can only help a recovering addict through immense support and personal intervention. Encourage them to seek help and attend sobriety meetings. Ensure your presence throughout their journey as you handle the setbacks and challenges together, if they would like this.

Don’t give up even when the journey becomes difficult. Stay strong even when your loved one gives you enough reasons to quit or lose hope. Your efforts count in helping them cope with addiction and attempting to pave a successful path to recovery.

Emma Sturgis is a freelance writer.